JEFFERSON R VAUGHAN MD PA
Medical Practice at Old Dixie Hwy, Jupiter, FL

License number
Florida ME55039
Category
Medical Practice
Type
Specialist
Owner
Name: DR. JEFFERSON ROGER VAUGHAN SR. M.D.
Title: OWNER/SURGEON
Phone: (561) 741-5695
Address
Address
1002 S Old Dixie Hwy STE 203, Jupiter, FL 33458
National Provider ID: 1124215363
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Jefferson R. Vaughan, MD, PA

Jupiter, FL

Status:
Inactive
Doing business as:
Jefferson R. Vaughan, M.D., PA
Registration:
Oct 28, 1996
Addresses:
875 Military Trl, Jupiter, FL 33458
1002 S Old Dixie Hwy, Jupiter, FL 33458
PO Box 7532, Jupiter, FL 33468
State ID:
P96000089304
Business type:
Domestic for Profit Corporation
Presidents:
Jefferson R. Vaughn President, inactive,Jefferson R. Vaughan President, inactive
Agent:
Jeferson R. Vaughan

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